<div id="tiga_ba">
	<div id="tiga_baa">Ubah Data Master INACBG</div>
	<div id="tiga_bab"></div>
	<div class="clear"></div>
</div>
            
<?php
	$id=$_GET['id'];
	$sql="select * from master_inacbg where kode_inacbg = '$id'";
	$qry=mysql_query($sql);
	$hasil=mysql_fetch_array($qry);
?>
<form action="utama.php?module=mod_minacbg&act=update" onsubmit="return gsValidate('deskripsi|alos','Deskripsi Harus Diisi|ALOS Harus Diisi','required|required');" method="post" enctype="multipart/form-data">
	<table style="margin: 10px 15px 10px 15px;">
		<tr>
			<td>Kode INACBG</td>
			<td>&nbsp;</td>
			<td>
				<input name="id" type="text" class="input_small" id="icd10" value="<?php echo $hasil['kode_inacbg']?>" disabled/>
				<input name="kode" type="hidden" id="kode" value="<?php echo $hasil['kode_inacbg']?>" />
			</td>
		</tr>
		<tr>
			<td>Deskripsi</td>
			<td>&nbsp;</td>
			<td>
				<textarea name="deskripsi" type="text" class="input" id="deskripsi" rows="2"><?php echo $hasil['deskripsi']?></textarea>
				<span class="red">*</span>
			</td>
		</tr>
		<tr>
			<td>ALOS</td>
			<td>&nbsp;</td>
			<td>
				<input name="alos" type="text" class="input_small" id="alos" value="<?php echo $hasil['alos']?>"/>
				<span class="red">*</span>
			</td>
		</tr>
		<tr>
			<td>Jenis INACBG</td>
			<td>&nbsp;</td>
			<td>
				<?php edit_kombo("jenis","jenis_inacbg","$hasil[id_jenis_inacbg]","input2") ?>
			</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td><input name="submit" type="submit" class="button" value="Ubah" /></td>
		</tr>
	</table>
</form>		
            
        